Relating to: coverage of breast cancer screenings by the Medical Assistance program and health insurance policies and plans. (FE)

AB 263 requires disability insurance policies and self-insured health plans to cover diagnostic breast examinations and supplemental screenings for individuals at increased breast cancer risk, as defined by National Comprehensive Cancer Network guidelines or breast density (per American College of Radiology standards). It mandates coverage without copays or deductibles for these specific screenings, including diagnostic exams for abnormalities and supplemental screenings for high-risk patients. The bill applies to all affected plans, ensuring coverage regardless of symptoms and prohibiting cost-sharing for these services. This directly impacts patients with dense breast tissue, family history, or other risk factors, as well as the insurers and employers offering these health plans.